pa sbirt newsletter...pa sbirt newsletter issue 6, july 2019 in this issue: pa sbirt is funded by...
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PA SBIRT Newsletter
Issue 6, July 2019
IN THIS ISSUE:
PA SBIRT is funded by the Substance Abuse and Mental Health Services Administration:
SAMHSA, TI026666
For more information:Jehlisah Vaccarella717.736.7457 [email protected]
Welcome to the fourth issue of the PA SBIRT Newsletter, a quarterly publicationdedicated to the PA SBIRT initiative. In this and future issues, we will feature: aprogress report, quarter recap, project site spotlight, and more. We hope that youfind this information helpful and encourage you to share!
Pennsylvania Screening, Brief Intervention, and Referral to Treatment (PA SBIRT) isa five-year initiative that will provide SBIRT services to over 20,000 patientsthroughout the Commonwealth by September 2021. SBIRT is a comprehensive andintegrated public health approach to the delivery of screening, early intervention,and treatment services employing empirically-based and clinically useful practicesto circumvent harmful consequences from substance use.
The project is directed by the Pennsylvania Department of Drug and AlcoholPrograms (DDAP) and The University of Pittsburgh School Of Pharmacy, ProgramEvaluation and Research Unit (PERU). Funding for the project is granted throughthe Substance Abuse and Mental Health Services Administration (SAMHSA) Centerfor Substance Abuse Treatment (CSAT). All data is collected and reported inaccordance with the Government and Performance Results (GPRA) Act of 2010.
Welcome!
The PA SBIRT Initiative
The PA SBIRT Vision: To ensure that every patient in our primary care clinics receives the right screening, brief intervention, and referral to treatment
(SBIRT) services by the right providers every time.
Page 1:
– The PA SBIRT Initiative
Page 2:
– Progress Report
– Quarter Recap
– The Care Coordinator Working Group Revamp
Page 3-4:
– Local News Coverage
– Project Site Spotlight:
Forbes Family Medicine
Page 5:
– SBIRT in the News
– Message from the Project Officer
– Contact Information
• • •
The PA SBIRT Team would like to thank the staff of participating project sites and SCAs, who dedicate their time and effort to ensure
that every patient receives the right SBIRT services every time.
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Pennsylvania Screening, Brief Intervention, and Referral to Treatment
Progress Report
Quarter Recap
To date, the PA SBIRT initiative has partnered with 5 healthcare sites in Pennsylvania, EMPOWER3 Center for Health,
Altoona Family Physicians, and UPMC Pregnancy Care Center in Blair County, Sharon Medical Group in Mercer
County, and Forbes Family Medicine in Allegheny County. Together, these sites have provided SBIRT services to a
total of 9,459 unduplicated patients, conducted 2,688 brief interventions, and connected 536 patients to treatment
services. The PA SBIRT Implementation Team is actively working to partner with additional healthcare sites.
Altoona Family Physicians has provided 737 briefinterventions and connected 67 patients to treatment.
Sharon Medical Group has provided 878 briefinterventions and connected 30 patients to treatment.
EMPOWER3 has provided 873 brief interventions andconnected 305 patients to treatment.
Month Site Visits & Trainings Deliverables
April2019
• Sharon Medical Group (SMG) Site Visit• UPMC Pregnancy Care Center (PCC) Site
Visit: Clinical Staff and Care Coordinators• EMPOWER3 Site Visit
• April Monthly Data Report• SMG Site Visit Report
• EMPOWER3 Site Visit Report• SAMHSA Semiannual Report
May
2019
• Forbes Family Medicine Site Visit: Clinical Staff and Residents
• AFP Site Visit: Clinical Staff and Residents
• PCC Site Visit: Clinical Staff and Residents
• AFP/PCC Visit: DDAP Secretary, Jennifer
Smith
• May Monthly Data Report• AFP/PCC Site Visit Report
• SMG Site Visit Report
• Key Informant Interview Report
• Policy Steering Committee Minutes and Meeting
Report
June2019
• SMG Site Visit• EMPOWER3 Site Visit
• AFP/EMPOWER3 Visit: White House Office of National Drug Control Policy, Anne
Hazlett and DDAP Secretary, Jennifer
Smith
• June Monthly Data Report• SMG Site Visit Report
• EMPOWER3 Closed Circuit TV Ads• PA SBIRT Demographic Data Report
UPMC Pregnancy Care Center has provided 192 briefinterventions and connected 134 patients totreatment.
ATTENTION: Care Coordinator Working Group Revamp
Over the next month, the Implementation Team will revamp the Care CoordinatorWorking Group to include a presentation on a different topic every month. Topics willinclude SBIRT in Different Disciplines, Medical Marijuana, SBIRT Champion Training,Neuroscience of Addiction, amongst other requested topics.
!
Forbes Family Medicine has established an SBIRTworkflow protocol and provided 8 brief interventions.
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Pennsylvania Screening, Brief Intervention, and Referral to Treatment
Forbes Family Medicine is affiliated with Allegheny Health Network (AHN) and is located in AlleghenyCounty. Forbes Family Medicine is a family medicine residency program that strives to provide Alleghenyand surrounding communities with the best possible affordable care. Forbes Family Medicine wasestablished in 1978, and continues to be the only residency program at AHN’s Forbes Hospital. At ForbesFamily Medicine, residents receive training in all aspects of family medicine, including OB, pediatrics, andinpatient pediatrics. The faculty, residents, and clinical staff are dedicated to serving patients throughoutcommunities in Allegheny County.
Forbes Family Medicine implemented SBIRT services on May 29, 2019. A detailed SBIRT Workflow Protocolwas developed to ensure that staff understand their individual roles and responsibilities. The process beginswhen a patient checks in at the front office and is handed an SBIRT Waiting Room Form. After the patientcompletes this form, they are escorted from the waiting room by a nurse or medical assistant. Patients whoscore positive during the initial screen complete a full screen with the Alcohol, Smoking and SubstanceInvolvement Screening Test (ASSIST). Brief interventions are conducted by the residents and providersusing the Brief Negotiated Interview (BNI). The SBIRT Care Coordinator , hired through Forbes FamilyMedicine, coordinates referrals for Level of Care Assessments (LOC) and aids in finding specialty care.
Due to dedication of the staff, the site recently screened 75% during the first month of implementation.Since implementation, Forbes Family Medicine has screened 523 total patients (including duplicate screens)and completed 8 brief interventions. The site continues to improve the workflow weekly.
Project Site Spotlight: Forbes Family Medicine
Local News Coverage: Altoona Family Physicians and Empower3 Center for Health
Senior Adviser at the White House Office of National DrugControl Policy, Anne Hazlett, and DDAP Secretary, JenniferSmith, visited PA SBIRT project sites Altoona FamilyPhysicians and Empower3 Center for Health on June 17th,2019. During both visits, Anne Hazlett and Jennifer Smithwere provided a tour of the facility, an overview of theSBIRT clinical workflow, and information regarding the PASBIRT project and partnerships with Blair Drug and AlcoholPrograms.
Pennsylvania Screening, Brief Intervention, and Referral to Treatment
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Site ChampionBob Sukolsky
Bob Sukolsky is the Director of Behavioral Scienceand a faculty member at the Forbes Family MedicineResidency Program for the past nine years. He hasbeen an SBIRT Champion and trainer for seven years.He has conducted SBIRT training throughout theAHN system with numerous medical specialtiesincluding Family and Internal medicine, OB andEmergency medicine. He has also been the trainerfor medical, dental and pharmacology studentsthrough the Lake Erie College of OsteopathicMedicine (LECOM). Through an SBIRT grant andChatham University, Bob has trained, doctoral levelPhysical Therapy, Occupational Therapy, andPsychology students as well as nursing, physicalassistant and counseling psychology students.
Bob received his Master’s degree in Counseling fromIndiana University of Pennsylvania and prior to hisposition at Forbes, has worked in the social servicefield for 25+ years in addition to being an adjunctinstructor at numerous universities in the area. Healso spent nearly 10 years as a Family Based MentalHealth trainer through the Western PsychiatricHospital.
Site ChampionJanelle Johns
Janelle Johns is a Nurse Practitioner with AlleghenyHealth Network. She is currently serving as a co-champion for SBIRT in the Forbes Family MedicineResidency Program. She is also on the Faculty for theForbes Family Medicine Residency. She graduatedfrom the University of Pittsburgh School of Nursingand earned her master’s degree as a Family NursePractitioner. She is board-certified by the AmericanAcademy of Nurse Practitioners. She has been a NursePractitioner for 17 years primarily working in FamilyPractice.
Care CoordinatorTresa Rollison
Tresa Rollison is a Licensed Social Work who
recently became the SBIRT Care Coordinator at the
Forbes Family Medicine office. Tresa graduated from
The University of Pittsburgh with a BS in Psychology
and a Masters in Social Work. Tresa has a long
history of both Mental Health Crisis work as well as
Diversion and Stabilization (DAS)/Short Term
Residential Treatment Facility (STRTF) care with
adolescents with mental health and behavioral
needs. Tresa has worked with Forbes Family
Medicine to implement the SBIRT program and
continues to work to make this new program a
success.
Meet the Team: Forbes Family Medicine
From left: Janelle Johns, Bob Sukolsky, and TresaRollison.
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Pennsylvania Screening, Brief Intervention, and Referral to Treatment
SBIRT in the News
Sterling, S., Kline-Simon, A,H., Jones, A., Hartman, L., Saba, K., Weisner, C.,Parthasarathy, S. (2019). Health Care Use Over 3 Years After AdolescentSBIRT. Pediatrics, 143(5), 1-11.
Health Care Use Over Three Years After Adolescent SBIRT
An emerging area within the study of SBIRT is the study of the successes of SBIRTin specifically reducing service/healthcare use among the adolescent demographic.Adolescent alcohol and substance use has largely contributed to three major causesof death (injuries, suicide, and homicide) and poor mental health amongadolescents.
In this study, randomized groups of adolescents aged 12 to 18 years receivinghealth services within the same health care delivery network were provided witheither usual care or SBIRT services provided by SBIRT trained pediatricians andbehavioral clinicians over a period of 3 years.
Results showed that adolescents in the SBIRT group were less likely to receive asubstance use disorder diagnosis (OR=0.64). The SBIRT group also had lower useof emergency department/outpatient services and psychiatric services (P<0.05) incomparison to the group that received “usual care” from their providers
The Pennsylvania Department of Drug and Alcohol Programs (DDAP)
• • •
Jehlisah VaccarellaPA SBIRT Project [email protected]
Dianne SchrodeDrug and Alcohol Program [email protected]
Terry Matulevich Director, Bureau of Administration and Program [email protected]
Jodi Skiles Director, Bureau of Treatment, Prevention and Intervention [email protected]
The University of Pittsburgh, Program
Evaluation and Research Unit (PERU)
• • •
Dr. Janice PringlePERU [email protected]
Alexandra NowalkSBIRT Program [email protected]
Abby TalbertPA SBIRT Project [email protected]
Vanessa BaakliniPA SBIRT Research [email protected]
Alec HowardResearch [email protected]